Doctor profile · Federal record

Dr. Thomas Spangenberg, PA-C

Physician Assistant · Fresno, CA

  • NPI 1558847640
  • Accepts Medicare
  • MIPS 85.0 / 100 · 2023
  • 7 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2823 Fresno St
Fresno, CA 937211324
(559) 499-6440
Mailing address
2625 E Divisadero St
Fresno, CA 937211431

Credentials & registration

NPPES · NUCC
NPI registered
July 2018 — 8 yrs on file
Profile last updated
February 9, 2021
Year of graduation
2019 — 7 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
California #57277

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1558847640. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
65
Distinct HCPCS
4
Medicare allowed
$8,562
HCPCS Description Services Patients Avg allowed
99291 Critical care, first 30-74 minutes 20 20 $172
99285 Emergency department visit with high level of medical decision making 16 15 $138
99214 Established patient office or other outpatient visit, 30-39 minutes 15 15 $104
99284 Emergency department visit with moderate level of medical decision making 14 14 $97

In context: peer comparison

Among 41 peers in Fresno Physician Assistant, average services per provider: 236. This provider delivers 0.3× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
78
Patients
78
Total drug cost
$746
Drug Type Claims Patients Total cost
Cefadroxil Generic 26 26 $480
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 15 15 $51
Dexamethasone Generic 14 14 $32
Ondansetron Odt (Ondansetron) Brand 12 12 $83
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 11 11 $101

Frequently asked questions

Auto-generated from federal data
What is Dr. Thomas Spangenberg's medical specialty?
Dr. Thomas Spangenberg practices Physician Assistant in Fresno, CA.
Where does Dr. Thomas Spangenberg practice?
Dr. Thomas Spangenberg practices at 2823 Fresno St, Fresno, CA 937211324. Office phone: 5594996440.
What is Dr. Thomas Spangenberg's NPI?
Dr. Thomas Spangenberg's National Provider Identifier (NPI) is 1558847640, issued by NPPES.
Does Dr. Thomas Spangenberg accept Medicare assignment?
Yes. Dr. Thomas Spangenberg accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Thomas Spangenberg commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Emergency department visit with high level of medical decision making (HCPCS 99285); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.